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Jordan, a group insurance agent, meets with Nancy, a commercial berry grower in Saskatoon, to renew her company's group insurance plan. When the plan was established four years ago, Nancy had 20 employees. She now has over 50 employees, many of whom are unhappy with the plan. Jordan wants to rectify this situation to everyone’s satisfaction but is not sure how to begin.

Which of the following options indicates the first step that Jordan should take?

A.

Ensure that the plan is a non-contributory plan.

B.

Switch the plan to another insurer.

C.

Identify satisfaction levels with support and turnaround time with claims.

D.

Cancel the company's group insurance plan.

Marsha and Alexis are equal partners in an advertising firm. They meet with Jose, an insurance agent, and Horacio, their lawyer, because they would like to protect themselves if one of them becomes disabled and unable to work for an extended period of time. At the end of their meeting, they agree to purchase $500,000 disability insurance policies on each other by each of them paying premiums.

What type of agreement do Marsha and Alexis have?

A.

Cross-purchase agreement

B.

Key person insurance

C.

Entity purchase agreement

D.

Business loan protection disability insurance

Rowan works for a construction company that employs 40 employees. The company is newly established, and the owners have yet to implement a group insurance policy. Rowan falls off theside of a building and breaks his collar bone. The doctor informs him that he will be unable to work for five months.

Who will pay him disability benefits while he is recuperating?

A.

His employer.

B.

Employment Insurance.

C.

Canada Pension Plan.

D.

Workers' Compensation.

Angus is involved in a motorcycle accident and due to his injuries has to spend a few nights in thehospital. He is released from the hospital with a doctor's note indicating that he is able to perform certain parts of his job, but that it would take months until he can be back to normal. He promptly calls his insurance agent Dawn to ask her if he would be entitled to his disability benefits. Dawn reads his policy and tells him that he will not receive any disability benefits.

Which disability definition is MOST LIKELY included in his policy?

A.

Own occupation

B.

Any occupation

C.

Regular occupation

D.

Total disability (according to the CPP)

Patricia is a laboratory technician who normally earns $4,000 a month. A few months ago, she injured her leg rollerblading and was unable to work for four months. Since she owns a disability insurance policy with a residual benefit option, she received $2,400 a month from the insurer. Now that she is recovered, her doctor has cleared her to slowly return to work. Since she cannot work her regular full-time hours, her pay has decreased to $3,000 a month.

How much will she receive from her residual benefit when she returns to work?

A.

$0

B.

$600

C.

$1,000

D.

$2,400

Tyler, a group insurance agent, is meeting with Yolanda, the director of his new group insurance client, Compact Funds Inc., to set up the company’s plan. Compact Funds employs over 30 employees, and Tyler recommends that they implement a contributory plan. Yolanda would like to understand what this means. Which of the following statements about contributory plans is CORRECT?

A.

The insurer will bill each employee who will then ask for Compact Funds to credit a portion of the premiums on the payroll.

B.

The insurer will bill Compact Funds, and they will deduct the requisite premium from each employee's paycheck.

C.

The insurer will bill Compact Funds and each employee individually.

D.

The insurer will bill each employee directly, and they will pay 100% of the premiums.

Renato’s new employer has just informed him that he is now eligible to join the company’s group insurance plan. He could thus benefit from life, disability, and prescription drug coverage. Renato promptly fills out the paperwork to apply for the plan’s basic coverage. Wondering if the process will involve medical underwriting at any point, he asks an agent from the group insurance provider. What should the agent tell him?

A.

Medical underwriting is required both upon application and when filing a claim.

B.

Medical underwriting is required upon application, but not when filing a claim.

C.

Medical underwriting is required (retroactively) when filing a claim, but not upon application.

D.

No medical underwriting is required, neither upon application nor when filing a claim.

Pat, a 30-year-old youth worker, meets with his life insurance agent to discuss disability insurancecoverage. After a thorough analysis of Pat’s needs, the agent recommends a policy with a $1,500 a month benefit (50% of Pat’s current salary) payable to age 65 after a 31-day waiting period. Pat has put enough money away to cover 6 months’ worth of expenses, if necessary, but he would prefer not to dip into his savings. He applies for the policy, with the expectation that the premium will be $75 a month. He already thinks this is pricey and would not want to pay any more than that. Some time later, underwriting informs the agent that the policy has been approved, but with a 125% premium rating due to Pat being overweight. Which one of the following options would make the most sense to reduce the premium to a level Pat would accept without compromising too much on his coverage?

A.

Extend the waiting period.

B.

Reduce the monthly benefit.

C.

Extend the benefit period.

D.

Have Pat reapply for coverage after losing the excess weight.

Xavier meets and fills out an application form with Jose, an insurance representative, because he would like to purchase a critical illness insurance policy. When Jose asks Xavier about his alcohol consumption, Xavier admits he regularly drinks 10 beers a day.

What is the next step in the application process?

A.

The insurance company will automatically refuse the application.

B.

The insurance company will accept the application with an exclusion for alcohol consumption.

C.

Jose should refuse the request.

D.

Xavier will have to fill out a questionnaire detailing his alcohol consumption.

Juliette owns a medium-sized business with approximately 100 employees. Three years ago, she set up a small group benefits plan. Her employees, however, are unhappy with the coverages offered under the plan. Moreover, for tax purposes, the group plan shares the cost of disability premiums with the employees—an expense they do not welcome. What should Juliette’s agent tell her?

A.

She should instead opt for an EHT, which affords more flexibility with no tax implications for her employees.

B.

She should instead opt for a PHSP, which provides more flexible and tax-free disability benefits.

C.

Her existing group plan is the best solution, because a group of that size would not be able to take advantage of other “grouped” alternatives.

D.

The existing group plan is the most cost-effective and tax-free way to provide these benefits.